Review of services for people living with HIV in New Zealand

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Inquiry6. What makes the service effective andrelevant for HIV positive persons?How many people use the service?For what reasons?Modes and frequency of communicationwith service users, members,constituentsProcesses of PLHA input to the designand operation of the serviceChallenges to service delivery7. What obstacles – if any – exist for potentialservice users?Times, geography, culture, information,language, ideology8. How is the service working on anadministrative level?Administrative capacity (staff numbers)Administrative needsAdministrative strengths andweaknesses – how burdens affectoutputs9. How is impact, effectiveness and valueassessed, and what have those assessmentsindicated to date?Criteria employedFrequency and modes of assessmentsEvidence of data for policy10. Are there any gaps in service coverage thatneed future investment?11. Are there plans for service development orevolution?ResponseIt is determined for and by HIV people.Approximately 450 PLWHA use one or more of our services.We communicate with our members on a monthly basis with anewsletter. This is complimented with an electronic broadcast as wellas a quarterly insert in “gay media”.Everything is designed and delivered by PLWHA.Challenges are financial.Most services are only available from Auckland. There are limitednational services. We find it difficult to reach out to “African”communities without sufficient resources to do so. When we have aservice or project involving women we work with Positive Women Inc.We are a small operation due to fiscal constraints.One person works on administration.Statistical information helps provide an evaluation of the projectcoupled with members (consumers) feedback.Outreach clinic and testing in the community.Yes we have developed a Strategic Plan and as funding is achieved wewill implement plans.64 REVIEW OF SERVICES FOR PLHA
C. INA FOUNDATION CHARITABLE TRUSTInquiry1. Is there a clear statement of purpose for theservice and, if so, how was that determined:What type of service is it?Who is it designed to serve primarily?How was this determined?How long has it been in operation?Have the aims of the service alteredduring its history – and why?Is there a mission statement?2. Are the aims and activities of the serviceconsonant with applicable MoH policies:Review alongside existing MoHstatements about services for PLHADoes the service fill known gaps in publichealth service provision?ResponseINA is a not for profit charitable trust with services and objectives ofimproving the quality of life for people living with HIV and the quality ofinformation about HIV to our communities (mission statement).Providing, advocacy, education, representation, whānau support, anddevelopment training. Incorporating the whare tapa wha 2 approach toholistic wellbeing; physical, mental, spiritual and family.INA’s target communities are Māori, indigenous and Pacific Island,regardless of age, gender, sexuality. INA also invites all ethnicities toparticipate in our events, etc. INA was developed as an indigenousresponse to HIV and AIDS as what was expressed in Toronto 2006 bythe ‘Toronto Charter’ placing Indigenous communities at the heart ofthe response to the epidemic. Officially, INA has been operating sinceFebruary 2008. Unregistered, INA was a concept rejuvenated frommembers, of the Te Whānau Tautoko group that started in the late1980’s. And has been operating without official capacity since thattime. A change since that time was the Charitable Trust Act 2008 thatprovided avenue to a renaissance of Te Whānau Tautoko and atransition to the new name of INA.INA resonates the principles portrayed by the Ministry of HealthPolicies of Whānau Ora and He Korowai Oranga by:working collaboratively with whānau, hapū and iwi with Māori toidentify appropriate methods of encouraging safe sex practices andhealthy sexual behaviours that leads to preventing and treatingdisease. By utilising traditional knowledge, experiences and historicreferences – Tikanga and Kawa – to build a base of knowledge thatwill increase health and wellbeing pertaining to sexual health forthe protection of whakapapa against diseasehaving active participation by Māori living with HIV at all levels ofthe health and disability sector in decision‐making, planning,development and delivery of sexual health services. By developingMāori providers and workforce capacity; as Māori educators,counsellors, therapists, leaders, and health professionals. Studieshave shown internationally, that the inclusion of people living withand affected by HIV/AIDS has a significant impact on preventionand policy. INA focuses on developing Māori living with HIV as wellas Māori affected and concerned about the HIV/AIDS epidemicaddressing the inequalities currently within the New ZealandHIV/AIDS health sector and improving services to whānau that areculturally appropriate, timely, of high quality and effective.Therefore reducing disparities for Māori and increasing wellbeingthrough the application of Rangatiratanga and Tikanga Māoriallowing Māori to take an active leadership role within the ‘Fightagainst AIDS’, Nationally and Internationally. Also within thegovernment and its agencies; to achieve the aim of whānau orawithin the broader determinants of health for Māori.2Mason Durie.REVIEW OF SERVICES FOR PLHA 65
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REVIEW OF SERVICES FORPEOPLE LIVING
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ACRONYMSAEGAMTACANCAPPARVBPCBOCSWDH
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CONTENTSACRONYMSACKNOWLEDGEMENTSEXE
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EXECUTIVE SUMMARYThis review has id
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INTRODUCTIONThe national clinical a
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The available data show that in the
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Family Planning is a not‐for‐pr
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METHODOLOGYThis review effectively
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* This does not include all DHB ser
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an adult sexual assault unit - SH r
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Page 23 and 24: perceived as formally (if implicitl
Page 25 and 26: The discussions in Wellington also
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Page 29 and 30: Ongoing close collaboration between
Page 31 and 32: The NZAF is the only national NGO r
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Page 35 and 36: As indicated above, there is a stro
Page 37 and 38: Figure 2: Reasons for FP clinic att
Page 39 and 40: As part of this review a focus grou
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Page 43 and 44: Despite INA’s development constra
Page 45 and 46: Difficulties in maintaining quality
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Page 49 and 50: It is evident that stigma is the el
Page 51 and 52: CONCLUSIONSFrom the foregoing, some
Page 53 and 54: APPENDIX 1: TERMS OF REFERENCEREVIE
Page 55 and 56: Modes and frequency of communicatio
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Page 59 and 60: Institute of Environmental Science
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Page 63 and 64: InquiryResponseResearch, analysis,
Page 65 and 66: InquiryResponseFrequency and regula
Page 67 and 68: Inquiry5. By what criteria are need
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Page 71: B. BODY POSITIVE INC.Inquiry1. Is t
Page 75 and 76: Inquiry6. What makes the service ef
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Page 81 and 82: InquiryResponseMF is 26 and has ove
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Review of services for people living with HIV in New Zealand

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